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No. 7241230 Name ZBOROWSKI, John residing at 21 Olive Street, New Britain, Conn. Date of birth 4/21/06 Date of order of admission 4/21/55 Date certificate issued April 21st, 1955 by the Superior Court at New Britain Petition No. 5231 Alien Registration No. A7 319 800 For he (Complete and true signature of holder)

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